Displaying 175331-175340 of 1611142 results.
ID:
175331
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175332
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175333
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175334
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175335
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175336
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175337
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175338
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175339
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
175340
Formulary ID:
00021075
Formulary Version:
23
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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